scholarly journals Socially Distanced Neonatal Resuscitation Program (NRP): A Technical Report on How to Teach NRP Courses During the COVID-19 Pandemic

Cureus ◽  
2020 ◽  
Author(s):  
Kristy Robinson ◽  
Hai-Yen Tang ◽  
Erika Metzenberg ◽  
Jenifer Peterson ◽  
Rachel Umoren ◽  
...  
Keyword(s):  
Neonatal Resuscitation ◽  
Technical Report ◽  
Neonatal Resuscitation Program

Code Blue Events in the Neonatal and Pediatric Intensive Care Units at a Tertiary Care Children's Hospital

2020 ◽  
Author(s):  
Catherine M. Groden ◽  
Erwin T. Cabacungan ◽  
Ruby Gupta
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Life Support ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Neonatal Resuscitation ◽  
Advanced Life Support ◽  
Pediatric Intensive Care ◽  
Code Blue ◽  
Neonatal Resuscitation Program

Objective The authors aim to compare all code blue events, regardless of the need for chest compressions, in the neonatal intensive care unit (NICU) versus the pediatric intensive care unit (PICU). We hypothesize that code events in the two units differ, reflecting different disease processes. Study Design This is a retrospective analysis of 107 code events using the code narrator, which is an electronic medical record of real-time code documentation, from April 2018 to March 2019. Events were divided into two groups, NICU and PICU. Neonatal resuscitation program algorithm was used for NICU events and a pediatric advanced life-support algorithm was used for PICU events. Events and outcomes were compared using univariate analysis. The Mann–Whitney test and linear regressions were done to compare the total code duration, time from the start of code to airway insertion, and time from airway insertion to end of code event. Results In the PICU, there were almost four times more code blue events per month and more likely to involve patients with seizures and no chronic condition. NICU events more often involved ventilated patients and those under 2 months of age. The median code duration for NICU events was 2.5 times shorter than for PICU events (11.5 vs. 29 minutes), even when adjusted for patient characteristics. Survival to discharge was not different in the two groups. Conclusion Our study suggests that NICU code events as compared with PICU code events are more likely to be driven by airway problems, involve patients <2 months of age, and resolve quickly once airway is taken care of. This supports the use of a ventilation-focused neonatal resuscitation program for patients in the NICU. Key Points

Neonatal Resuscitation

2020 ◽  
pp. 64-66
Author(s):  
Anneka Hooft ◽  
Seema Shah
Keyword(s):  
United States ◽  
Emergency Department ◽  
Heart Rate ◽  
Neonatal Resuscitation ◽  
The United States ◽  
Pediatric Emergency ◽  
Positive Pressure ◽  
Respiratory Effort ◽  
Neonatal Resuscitation Program ◽  
Hospital Births

The majority of neonates born in the United States breathe spontaneously and do not require special assistance, but approximately 10% require some intervention, and less than 1% require extensive resuscitation measures. Although the number of infants delivered in the emergency department is unknown, out-of-hospital births have been increasing; thus, pediatric emergency physicians should be prepared for the possibility of a neonatal resuscitation in the emergency department. The acute resuscitation of the neonate should follow the Neonatal Resuscitation Program algorithm and includes assessment of heart rate, color, tone, and respiratory effort within the first minute of life. Initial treatment requires warming and gentle stimulation. Positive pressure ventilation should be initiated if the heart rate is <100 beats per minute, and chest compressions should be initiated if the heart rate is <60 beats per minute.

Efficacy of the neonatal resuscitation program (NRP) course on knowledge retained by residents: Comparison among pediatrics, anesthesia and gynecology

Resuscitation ◽  
2010 ◽  
Vol 81 (12) ◽  
pp. 1741-1742 ◽  
Author(s):  
Matteo Parotto ◽  
Nicoletta Doglioni ◽  
Massimo Micaglio ◽  
Vincenzo Zanardo ◽  
Giorgio Perilongo ◽  
...  
Keyword(s):  
Neonatal Resuscitation ◽  
Neonatal Resuscitation Program

PP-100. The effect of the neonatal resuscitation program courses on the long-term neurodevelopmental outcome of newborn infants with perinatal asphyxia

2010 ◽  
Vol 86 ◽  
pp. S57-S58
Author(s):  
Ridvan Duran ◽  
Işık Görker ◽  
Yasemin Küçükuğurluoğlu ◽  
Nukhet Aladag Ciftdemir ◽  
Ulfet Vatansever Ozbek ◽  
...  
Keyword(s):  
Perinatal Asphyxia ◽  
Newborn Infants ◽  
Neurodevelopmental Outcome ◽  
Neonatal Resuscitation ◽  
Neonatal Resuscitation Program
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